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Assignment on Colorectal Cancer

   

Added on  2021-05-27

10 Pages2438 Words58 Views
Running header: COLORECTAL CANCER 1Colorectal cancerStudent’s nameInstitutional

2IntroductionCase presentationMr. John a 65 years old white male had started having frequent episodes of abdominal pain and feeling tired. This symptoms prompted carol his wife to advice Jim to go see the doctor, but Jim complained that he was too busy and they have never had cancer in their family. John later went to see the doctor, a colonoscopy was done and he was diagnosed with cancer of the bowel. He was referred to a surgeon where he was get the cancerous part of the bowel removed. His medication included adjuvant chemotherapy, calcium folinate 50mg IV day 1, Fluorouracil 400mg/m2, fluorouracil 2400mg/m2 by IV infusion over 46 hours commencing in day1.Discharge plana)Follow up treatment and careFollow up care is important after the treatment for colorectal cancer, it includes handling any side effects due to treatment therapy and monitoring for the long-term side effects. The most significant reason for the follow up regimen after curative treatment is to monitor for signs and of cancer recurrence. The follow up care is very important for the first treatment since that’s when the risk of recurrence is highest. The follow up care included physical examination and other medical tests that were used to check for the recovery. The follow up care is mostly intended for clients with stage two or three colorectal cancer. Testing for stage one colorectal cancer is less certain because this stage is less likely to occur. The following tests were recommended to watch for colorectal cancer recurrence.

3Computed tomography (CT) scanA CT scan is used to create a three dimensional image inside the body using an x-ray machine to view the colon. The patient undergoes colonic cleaning before CT colonography is performed. This is because residual can cause a false positive result. Strong laxative such as sodium phosphate and magnesium citrate. The scanning is performed when the student is in supine and prone position as he holds his breath in each position. Advantages of CT colonography is that it is used to localize lesions more precisely than colonoscopy (Brien, Winawer, & Zauber, 2013, p.371-379).ColonoscopyThis examination allow for the examination of polyps in the entire colon by the use of a light, flexible tube called a colonoscope. Colonoscopy is performed one year after the surgery. The regularity of the test depends on the results of the previous test. If the polyps are found after examination, a colonoscopy may be recommended sooner(Ann, Sidney, & Micheal, 2012, p.687-696). In general, this examination is performed after every five years.Carcinoembryonic antigen (CEA) testIt’s used in the detection of CEA protein levels in the blood. An increased level of CEA may signify that the cancer has distributed to other parts of the body. CEA testing done after every three to six months for five years.

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